1ST SEMESTER

COMMUNITY HEALTH NCM

NURSING 2105
LECTURE/ SECOND YEAR/ CPU-CON Clementir, A.G. BSN2B

COMMUNITY HEALTH NURSING: AN OVERVIEW

Overview
THE DEVELOPMENT OF A SOCIAL MACHINERY TO ENSURE EVERY
ONE A STANDARD OF LIVING, ADEQUATE FOR MAINTENANCE OF
WHAT IS A COMMUNITY?
HEALTH TO ENABLE EVERY CITIZEN TO REALIZE HIS BIRTH RIGHT
OF HEALTH AND LONGEVITY (DR. C.E WINSLOW)
A GROUP OF PEOPLE WITH COMMON CHARACTERISTICS OR
INTERESTS LIVING TOGETHER WITHIN A TERRITORY OR Public health consider the health of all people in a country
GEOGRAPHICAL BOUNDARY. Community health only focuses on an area within a country

PLACE WHERE PEOPLE UNDER USUAL CONDITIONS ARE FOUND

WHAT IS NURSING?
A COMMUNITY HAS THREE FEATURES, LOCATION, POPULATION AND
ASSISTING SICK INDIVIDUALS TO BECOME HEALTHY
SOCIAL SYSTEM.
HEALTHY INDIVIDUALS ACHIEVE OPTIMUM WELLNESS
Location- ocular survey, spot map
Population- number of target in an area
PUBLIC HEALTH NURSING
Social system- easy to make change if there is an open communication

IS A SYSTEMATIC PROCESS BY WHICH: THE HEALTH AND HEALTH

DERIVED FROM A LATIN WORD “COMUNICAS” WHICH MEANS A
CARE NEEDS OF A POPULATION ARE ASSESSED IN ORDER TO
GROUP OF PEOPLE.
IDENTIFY SUBPOPULATIONS, FAMILIES AND INDIVIDUALS WHO
WOULD BENEFIT FROM HEALTH PROMOTION OR WHO ARE AT RISK
OF ILLNESS, INJURY, DISABILITY OR PREMATURE DEATH ( WHO)
WHAT IS HEALTH? THE PRACTICE OF PROMOTING AND PROTECTING THE HEALTH OF
POPULATIONS USING KNOWLEDGE FROM NURSING, SOCIAL, AND
OLOF - OPTIMUM LEVEL OF FUNCTIONING
PUBLIC HEALTH SCIENCES (ANA)
HEALTH – ILLNESS CONTINUUM
HIGH LEVEL WELLNESS COMMUNITY HEALTH NURSING
AGENT-HOST-ENVIRONMENT
HEALTH BELIEF
“THE UTILIZATION OF THE NURSING PROCESS IN THE DIFFERENT
EVOLUTIONARY-BASED - influenced by psychosocial variables
LEVELS OF CLIENTELE-INDIVIDUALS, FAMILIES, POPULATION
HEALTH PROMOTION - process of enabling people to increase control
GROUPS AND COMMUNITIES, CONCERNED WITH THE PROMOTION
over, and to improve their health.
OF HEALTH, PREVENTION OF DISEASE AND DISABILITY AND
WHO DEFINITION - Health is a state of complete physical, mental and
REHABILITATION.” - MAGLAYA, ET AL
social well-being and not merely the absence of disease or infirmity
THE SYNTHESIS OF NURSING AND PUBLIC HEALTH PRACTICE
APPLIED TO PROMOTE AND PROTECT THE HEALTH OF
POPULATION. –ANA
GOAL: “TO RAISE THE LEVEL OF CITIZENRY BY HELPING
WHAT IS COMMUNITY HEALTH?
COMMUNITIES AND FAMILIES TO COPE WITH THE DISCONTINUITIES
PART OF PARAMEDICAL AND MEDICAL INTERVENTION/ APPROACH IN AND THREATS TO HEALTH IN SUCH A WAY AS TO MAXIMIZE THEIR
WHICH IS CONCERNED ON THE HEALTH OF THE WHOLE POTENTIAL FOR HIGH-LEVEL WELLNESS” ( NISCE, ET AL)
POPULATION A SPECIALIZED FIELD OF NURSING PRACTICE THAT COMBINES THE
IMS: The goal of our health; SKILLS OF NURSING, PUBLIC HEALTH AND SOME PHASES OF
1. HEALTH PROMOTION SOCIAL ASSISTANCE AND FUNCTIONS AS PART OF THE TOTAL
2. DISEASE PREVENTION PUBLIC HEALTH PROGRAM FOR THE PROMOTION OF HEALTH, THE
3. MANAGEMENT OF FACTORS AFFECTING HEALTH IMPROVEMENT OF THE CONDITIONS IN THE SOCIAL AND PHYSICAL
ENVIRONMENT, REHABILITATION OF ILLNESS AND DISABILITY ( WHO
EXPERT COMMITTEE OF NURSING)
A LEARNED PRACTICE DISCIPLINE WITH THE ULTIMATE GOAL OF
WHAT IS PUBLIC HEALTH? CONTRIBUTING AS INDIVIDUALS AND IN COLLABORATION WITH
OTHERS TO THE PROMOTION OF THE CLIENT’S OPTIMUM LEVEL OF
IS A SCIENCE & ART OF 3 P’S : FUNCTIONING THRU’ TEACHING AND DELIVERY OF CARE
PREVENTION OF DISEASE (JACOBSON)
PROLONGING LIFE A SERVICE RENDERED BY A PROFESSIONAL NURSE TO IFCS,
PROMOTION OF HEALTH AND EFFICIENCY THROUGH ORGANIZED POPULATION GROUPS IN HEALTH CENTERS, CLINICS, SCHOOLS ,
COMMUNITY EFFORT ( C.E. WINSLOW ) WORKPLACE FOR THE PROMOTION OF HEALTH, PREVENTION OF
ILLNESS, CARE OF THE SICK AT HOME AND REHABILITATION (DR.
Focus; RUTH B. FREEMAN)
THE SANITATION OF THE ENVIRONMENT A SCIENCE OF PUBLIC HEALTH COMBINED WITH PUBLIC HEALTH
THE CONTROL OF COMMUNICABLE INFECTIONS NURSING SKILLS AND SOCIAL ASSISTANCE WITH THE GOAL OF
THE EDUCATION OF THE INDIVIDUAL IN PERSONAL HYGIENE RAISING THE LEVEL OF HEALTH OF THE CITIZENRY, TO RAISE
THE ORGANIZATION OF MEDICAL AND NURSING SERVICES FOR THE OPTIMUM LEVEL OF FUNCTIONING OF THE CITIZENRY
EARLY DIAGNOSIS AND PREVENTIVE TREATMENT OF DISEASE (CHARACTERISTIC OF CHN)
N.B. THE HIGHEST OF FREEMAN’S DEFINITION OF CHN IS:
ENHANCING CAPABILITIES OF PEOPLE
 1ST SEMESTER
COMMUNITY HEALTH NCM
NURSING 2105
LECTURE/ SECOND YEAR/ CPU-CON Clementir, A.G. BSN2B

COMMUNITY HEALTH NURSING: AN OVERVIEW

BASIC PRINCIPLES OF CHN OTHER SPECIFIC RESPONSIBILITIES OF A NURSE,

SPELLED BY THE IMPLEMENTING RULES AND
THE COMMUNITY IS THE PATIENT IN CHN,
REGULATIONS OF RA 7164 (PHILIPPINE
THE FAMILY IS THE UNIT OF CARE
NURSING ACT OF 1991) INCLUDES:
THERE ARE FOUR LEVELS OF CLIENTELE: INDIVIDUAL, FAMILY,
POPULATION GROUP (THOSE WHO SHARE COMMON
Supervision and care of women during pregnancy, labor and puerperium
CHARACTERISTICS, DEVELOPMENTAL STAGES AND COMMON
Performance of internal examination and delivery of babies
EXPOSURE TO HEALTH PROBLEMS – E.G. CHILDREN, ELDERLY),
Suturing lacerations in the absence of a physician
AND THE COMMUNITY.
Provision of first aid measures and emergency care
THE CLIENT IS CONSIDERED AS AN ACTIVE PARTNER NOT PASSIVE
Recommending herbal and symptomatic meds...etc.
RECIPIENT OF CARE
THE GOAL OF CHN IS ACHIEVED THROUGH MULTI-
SECTORALEFFORTS
CHN IS A PART OF HEALTH CARE SYSTEM AND THE LARGER HUMAN IN THE CARE OF THE FAMILIES:
SERVICES SYSTEM.
CHN PRACTICE IS AFFECTED BY DEVELOPMENTS IN HEALTH PROVISION OF PRIMARY HEALTH CARE SERVICES
TECHNOLOGY, IN PARTICULAR, CHANGES IN SOCIETY, IN GENERAL DEVELOPMENTAL/UTILIZATION OF FAMILY NURSING CARE PLAN IN
THE PROVISION OF CARE

MISSION OF CHN
IN THE CARE OF THE COMMUNITIES:
HEALTH PROMOTION
COMMUNITY ORGANIZING MOBILIZATION, COMMUNITY
HEALTH PROTECTION
DEVELOPMENT AND PEOPLE EMPOWERMENT
HEALTH BALANCE
CASE FINDING AND EPIDEMIOLOGICAL INVESTIGATION
DISEASE PREVENTION
PROGRAM PLANNING, IMPLEMENTATION AND EVALUATION
SOCIAL JUSTICE - the view that everyone deserves equal economic,
INFLUENCING EXECUTIVE AND LEGISLATIVE INDIVIDUALS OR
political and social rights and opportunities.
BODIES CONCERNING HEALTH AND DEVELOPMENT

PHILOSOPHY OF CHN RESPONSIBILITIES OF CHN

THE PHILOSOPHY OF CHN IS BASED ON THE WORTH AND DIGNITY
OF MAN.”(DR. M. SHETLAND)
BE A PART IN DEVELOPING AN OVERALL HEALTH PLAN, ITS
IMPLEMENTATION AND EVALUATION FOR COMMUNITIES
PROVIDE QUALITY NURSING SERVICES TO THE THREE LEVELS OF
CLIENTELE
MAINTAIN COORDINATION/LINKAGES WITH OTHER HEALTH TEAM
MEMBERS, NGO/GOVERNMENT AGENCIES IN THE PROVISION OF
PUBLIC HEALTH SERVICES
CONDUCT RESEARCHES RELEVANT TO CHN SERVICES TO IMPROVE
PROVISION OF HEALTH CARE
PROVIDE OPPORTUNITIES FOR PROFESSIONAL GROWTH AND
CONTINUING EDUCATION FOR STAFF DEVELOPMENT

STANDARDS IN CHN

ROLES OF A COMMUNITY HEALTH NURSE THEORY- applies theoretical concepts as basis for decisions in practice
DATA COLLECTION- gathers comprehensive, accurate data systematically
DIAGNOSIS- analyzes collected data to determine the needs/ health
problems of ifc
PLANNING- at each level of prevention, develops plans that specify nursing
actions unique to needs of clients
INTERVENTION- guided by the plan, intervenes to promote, maintain or
restore health, prevent illness and institute rehabilitation
EVALUATION- evaluates/ appraises responses of clients to interventions to
note progress toward goal achievement, revise data base, diagnoses and
plan
 1ST SEMESTER
COMMUNITY HEALTH NCM
NURSING 2105
LECTURE/ SECOND YEAR/ CPU-CON Clementir, A.G. BSN2B

COMMUNITY HEALTH NURSING: AN OVERVIEW

QUALITY ASSURANCE AND PROFESSIONAL DEVELOPMENT-

participates in peer review and other means of evaluation to assure quality
of nursing practice
ASSUMES PROFESSIONAL DEVELOPMENT- contributes to development
of others
INTERDISCIPLINARY COLLABORATION- collaborates with other members
of the health team, professionals and community representatives in
assessing, planning, implementing and evaluating programs for community
health
RESEARCH- indulges in research to contribute to theory and practice in
community health nursing

REFERENCE:
COMMUNITY HEALTH NURSING
MS. ADEL MORONG R.N., M.S.N.

EVOLUTION OF PUBLIC HEALTH NURSING IN THE PHILIPPINES

1901
ACT NO. 157 – BOARD OF HEALTH OF THE PHILIPPINES
ACT NO. 309 – PROVINCIAL AND MUNICIPAL BOARDS OF HEALTH

1905
ACT NO. 1407 – BOARD OF HEALTH WAS ABOLISHED; FUNCTIONS
WERE TRANSFERRED TO BUREAU OF HEALTH

1919
ACT NO. 2808 – CARMEN DEL ROSARIO, 1ST FILIPINO NURSE
SUPERVISOR UNDER BOH

OCT 22, 1922

Filipino Nurses Organization WAS ORGANIZED.

1928
First Nursing Convention WAS HELD

1940
Manila Health Department Was Created

1990-1992
Local Government Code Of 1991 (RA 7160) As Passed And Implemented

JAN 1999
Nelia Hizon Was Positioned As The Nursing Adviser At The Office Of Public
Health Services – Dept Order No. 29

MAY 24, 1999

EO 102 W/C Redirects The Functions And Operations Of DOH, As Signed
By Pres. Estrada

1999-2004
The Health Sector Reform Agenda Was Developed To Describe Major
Strategies, Organizational And Policy Changes.

2005
A Plan To Rationalize Or Streamline The Bureaucracy Which Includes The
DOH Was Developed